MOON DENTAL LLC
NPI 1760190003
Dentist - General Practice in Quincy, IL

Active since November 07, 2022
334 S 8TH ST, QUINCY, IL 62301(217) 222-4525 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Moon Dental Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOON DENTAL LLC (NPI 1760190003), doing business as Cornerstone Dental Health, is a healthcare organization registered as a general practice in Quincy, Illinois and active in the NPI registry since November 2022. The organization lists Jenny Garcia-rocha, Credentialing Lead, as its authorized official.

NPPES Registry Identity

NPI1760190003
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMOON DENTAL LLC
Location Address334 S 8TH STQuincy, IL 62301-4106
Mailing Address334 S 8th StQuincy, IL 62301-4106
Organization SubpartNo
Authorized OfficialJenny Garcia-rochaCredentialing Lead · (972) 869-3789
Enumeration DateNovember 7, 2022
NPPES CertifiedNovember 6, 2022
✔ NPI 1760190003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
334 S 8TH ST, Quincy, IL 62301

Other Names 1

Doing Business AsCornerstone Dental Health

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
334 S 8TH ST
QUINCY, IL 62301
Dentist (General Practice)
334 S 8TH ST
QUINCY, IL 62301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moon Dental LLC's NPI number?

The NPI number for Moon Dental LLC is 1760190003. It was assigned to this organization in the NPPES registry on November 7, 2022. The provider is doing business as Cornerstone Dental Health.

Where is Moon Dental LLC located?

Moon Dental LLC is located at 334 S 8th St, Quincy, IL 62301. The listed phone number is (217) 222-4525.

What is Moon Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Moon Dental LLC was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.